Abstract

YEPEZ INTRIAGO, M.; ESTRELLA TEJADA, P.  and  VELEZ POLIT, E.. Reduction mammoplasty with short scars in big mammary hypertrophy or gigantomasty. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.1, pp.1-8. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922013000100001.

In the last decade, Plastic Surgery has created reduction mammoplasty techniques with less scarring trying not to modify the normal morphology and physiology of the breast. Some of them leave unpleasant results and immediate ptosis in patients with great hypertrophy or gigantomasty; great need of inverted T scar for removal of excess tissue present in these cases produce a scar in the inframammary crease that often exceeds the antherior axillary line side and reach the medial sternal region. In order to have minor scars in the inframammary crease, not greater than 10 cm. length, we present a new technique of reduction mammoplasty which has been performed in 52 patients whose ages ranged from 16 to 70 years old and had large mammary hypertrophy or gigantomaty. This technique, managed to withdraw up to 1.500 gr. of breast tissue, has a dial that allows from the start resects excess tissue of the lower pole of the breast, resulting in a scar no more than 10 cm length in the inframammary crease, because the medial and lateral extensions have been treated with superficial liposuction. A pedicle adipose-gland flap will help to raise the breast, filling the upper pole and increasing its projection.

Keywords : Reduction mammoplasty; Hypertrophic breast; Gigantomasty; Liposuction.

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